Development, reliability and validity of infectious disease specialist Nurse’s Core competence scale

Aim This study aims to develop an instrument to measure infectious disease specialist nurses’ core competence and examining the scale’s validity and reliability. Background With the increase of infectious diseases, more and more attention has been paid to infectious disease nursing care. The core competence of the infectious disease specialist nurses is directly related to the quality of nursing work. In previous researches, infectious disease specialist nurses’ core competence was measured by the tools developed for general nurses instead of specialized tools, which made it difficult to clarify the core competence of nurses in infectious diseases department. Methods Preliminary items were developed through literature review, theoretical research, qualitative interview and Delphi method. The confirmed 47 items were applied in the two rounds of data collection. Evaluation data on 516 infectious disease specialist nurses’ core competence in the first round were utilized to preliminarily evaluate and explore the scale’s constrution, while evaluation data on 497 infectious disease specialist nurses’ core competence in the second round were utilized to do reliability analysis and validity analysis. In this study, factor analysis, Cronbach’s α, Pearson correlation coefficients were all adopted. Results The final scale is composed of 34 items and 5 factors, and adopted the 5-point scoring method. The factors are Professional Development Abilities, Infection Prevention and Control Abilities, Nursing Abilities for Infectious Diseases, Professionalism and Humanistic Accomplishment, and Responsiveness to Emergency Infectious Diseases. The explanatory variance of the five factors was 75.569%. The reliability and validity of the scale is well validated. The internal consistency, split-half reliability and test-retest reliability were 0.806, 0.966 and 0.831 respectively. The scale has good structural validity and content validity. The content validity was 0.869. Discrimination analysis showed that there were significant differences in the scores of core competence and its five dimensions among infectious disease specialist nurses of different ages, working years in infectious diseases, titles, educational background, marital status and wages (all P < 0.05). Conclusions The proposed scale takes on high reliability and validity, and is suitable for assessing the infectious disease specialist nurses’ core competence. Relevance to clinical practice This scale provides a reference for clinical assessment of infectious disease nursing.

Development, Reliability and Validity of Infectious Disease Specialist Nurse’s Core Competence Scale

Aim: This study aimsto develop an instrument to measure infectious disease specialist nurses’ core competence and examining the scale’s validity and reliability.Background: With the increase of infectious diseases, more and more attention has been paid to infectious disease nursing care. The core competence of the infectious disease specialist nurses is directly related to the quality of nursing work. In previous researches, infectious disease specialist nurses’ core competence was measured bythe tools developed for general nursesinstead of specialized tools, which made it difficult to clarify the core competence of nurses in infectious diseases department.Methods: Preliminary items were developed through literature review, theoretical research, qualitative interview and Delphi method. The confirmed 47 items were applied in the two rounds of data collection. Evaluation data on 516 infectious disease specialist nurses’ core competence in the first round were utilized to preliminarily evaluate and explore the scale’s constrution, whileevaluation data on 497 infectious disease specialist nurses’ core competence in the second round were utilized to doreliability analysis and validity analysis. In this study, factor analysis, Cronbach's a, Pearson correlation coefficients were all adopted.Results: The final scaleis composed of 34 items and 5 factors, and adoptedthe 5-point scoring method. The factors areProfessional Development Abilities, Infection Prevention and Control Abilities, Nursing Abilities for Infectious Diseases, Professionalism and Humanistic Accomplishment, and Responsiveness to Emergency Infectious Diseases.The explanatory variance of the five factors was 75.569%. The reliability and validity of the scale is well validated.The internal consistency, split-half reliability and test-retest reliability were 0.806, 0.966 and 0.831 respectively.The scale has good structural validity and content validity. The content validity was 0.869. Discrimination analysisshowed that there were significant differences in the scores of core competence and its five dimensions among infectious disease specialist nurses of different ages, working years in infectious diseases, titles, educational background, marital status and wages (all P< 0.05).Conclusions:The proposed scale takes on high reliability and validity,and is suitable for assessing the infectious disease specialist nurses’ core competence.Relevance to clinical practice: This scale provides a reference for clinical assessment of infectious disease nursing.

To the organization of measles stations

The purpose of our message is to fix the attention of a pediatrician and an infectious disease specialist on the need to organize measles stations. The functioning of the stations will not only ensure the preservation of the lives of children, the bottom and will give a certain economic effect it will not tear away the working mother from production; hence, it is clear that doctors need to widely familiarize the public with the purpose and task of measles stations.

Construction of an index system of core competence assessment for infectious disease specialist nurse in China: a Delphi study

Aim and objective This study was to establish an index system for the evaluation of Chinese infectious disease specialist nurses’ core competence. Background The index system for the evaluation of infectious disease specialist nurses’ core competence has not been established. Design A two-round Delphi survey was conducted to seek opinions from experts about the index system for the evaluation of infectious disease specialist nurses’ core competence. Methods The study adopted several research methods, including literature retrieval, theoretical analysis and qualitative research. Based on the above method, the draft of core competence evaluation index system of infectious disease specialist nurses was constructed. A Delphi survey was used for the study of 30 infectious disease experts from 8 provinces and cities around China. A modified recommendation for the Conducting and Reporting of Delphi studies (CREDES) was also used to guide this study. A STROBE checklist was used. Results The Core Competence Evaluation Index System of Infectious Disease Nurses is composed of 6 primary indicators, namely, Nursing Abilities for Infectious Diseases, Infection Prevention and Control Abilities, Responsiveness to Infectious Diseases, Professional Development Abilities, Communication and Management Abilities, and Professionalism and Humanistic Accomplishment, 16 secondary indicators and 47 tertiary indicators. The authority coefficient, judgment coefficient and familiarity degree of Delphi experts were 0.923, 0.933 and 0.913 respectively. Conclusions The evaluation index system of core competence of diseases specialist nurses is scientific and reliable. It can be reference for future training and assessment of Chinese infectious disease specialist nurses. Relevance to clinical practice Infectious disease specialist nurses are the main force for infectious disease nursing. Their core competence is related to the quality of infectious disease nursing and treatment. The core competence of the nurses is important for identification of training strategies and can be regarded as reference for nurse assessment and promotion. The construction of the index system is based on the consensus of infectious disease experts, which is not only helpful to standardize the training strategies and selection standards of infectious disease specialist nurses in the future, but also meet the society’s needs in clinical infectious disease nursing.

#58: Identification of the most frequent mistakes in the prescription of antibiotics using the “Time-out” strategy, in a pediatric hospital in Mexico City.

Background In 2019, the CDC estimated that each year more 2.8 million antibiotic resistant infections ocurr in the United States and more than 35,000 pepole die a a result.Usually in pediatrics, antibiotics are the most prescribed, reviews have demonstrated that 37 to 61% of hospitalized infants and children receive antibiotics and 20 to 50% of these prescriptions are unnecessary either the dosage or duration are incorrect. Antibiotic resistance is an increasing worldwide problem. Effective antimicrobial stewardship programs has been demostrated reduce the inappropriate use and optimizing antimicrobial selection, dosing, route, and duration of terapy, limiting the consequences such adverse drug, resistance and cost.4 The antibiotic time-out consists in reassessment of the continuing need and choise of aantibiotics when the clinical picture is clearer and we have more diagnostic information. Currently, in our institution there is no established stewardship program and the costs attributable to antimicrobial use have been estimated at 1.6 million dollars. The goal of this project was to identify the most common prescription mistakes using the “Time-out” strategy because of its structured applicability and simplified revision that guides antimicrobial use. Methods From May to October 2020, we carried out a time out evaluation for different antimicrobial prescriptions in the five main wards of the INP; it consisted of data collection through a mobile application where the prescriptions were documented and evaluated. We answered three questions: 1) Based on the patient′s clinical course and diagnostic test, is the use of these antibiotics justified? 2)Is the dose, interval and route of administration correct? 3) What is the estimated duration of treatment? An infectious disease specialist evaluated the antimicrobial prescriptions daily and, if necessary, modified or adjusted it during rounds. Our evaluation was carried out between 24 and 72 hours of treatment initiation. Results For a 6 month period, 196 antimicrobial prescriptions were evaluated through the time-out strategy. Of them, 48% were from de group of cephalosporins followed by the glycopeptides (16%) and carbapenems (14.3%). In 23% of cases they were not medically justified and 53% of them required either discontinuation, narrowing of broadening of spectrum. The prevalence of antibiotic prescription errors was 23%. In 30% of cases it was a dose per kg of body weight error, 61% total dose per day and 9% in duration of treatment. Of note, there were 26% of these prescriptions were instances where the antimicrobials were not prescribed by a pediatric infectious disease specialist where 67% was not found to be justified upon evaluation and 72% required discontinuation. Conclusions The implementation of an antimicrobial control program made it possible to identify the most common mistakes in antibiotic prescription in our hospital, confirming the relevance of these programs to reduce the inappropriate use of antimicrobial prescriptions, limiting the consequences such adverse effects drug, antimicrobial resistance and healthcare cost.

Construction of An Index System of Core Competence Assessment For Infectious Disease Specialist Nurse: A Delphi Study

Aim and objective: To establish an index system for the evaluation of infectious disease specialist nurse core competence.Background: An index system for the evaluation of infectious disease specialist nurse core competence has not been established.Design: A two-round Delphi survey sought opinions from experts about the index system for the evaluation of infectious disease specialist nurse core competence.Methods: Based on the methods of literature retrieval, theoretical analysis and qualitative research, the draft of core competence evaluation index system of infectious disease specialist nurses was constructed. A Delphi survey was used for the study of 30 infectious disease experts from 8 provinces and cities around China. A modified recommendation for the Conducting and Reporting of Delphi studies (CREDES) was used to guide this study. A STROBE checklist was used.Results: The evaluation index system of core competence of diseases specialist nurses is composed of 6 primary indicators which includes Nursing Abilities for infectious diseases, Infection Prevention and Control Capabilities, Capabilities in Response to Infectious Disease, Professional Development Capabilities, Communication and Management Capabilities and Professionalism and Humanistic Accomplishment, 16 secondary indicators and 47 tertiary indicators. The authority coefficient, judgment coefficient and familiarity degree of Delphi experts were 0.923, 0.933 and 0.913 respectively.Conclusions: The evaluation index system of core competence of diseases specialist nurses is scientific and reliable. It can be reference for future training and assessment of infectious disease specialist nurses.Relevance to clinical practice: Infectious disease specialist nurses are the main force for infectious disease nursing. Their core competence is related to the quality of infectious disease nursing and treatment. The core competence of the nurses is important for identification of training strategies and can be regarded as reference for nurse assessment and promotion. The construction of the index system is based on the consensus of infectious disease experts, which is helpful to standardize the training strategies and selection standards of infectious disease specialist nurses in the future and meet the needs of clinical infectious disease nursing.